08-104524 • • Mechanical
Way Q
CommuCitynityof DevelopmentFederal Services Permit #: 08-104524-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: REY
Project Address: 836 SW 364TH PL Parcel Number: 779645 0460
Project Description: Remove/replace gas furnace,& add (1) heat pump
Owner Applicant Contractor
KARL REy HERITAGE ENTE t SES IN(\(GE ) HERITAGE NTERPRISES INC(GENERAL)
836 SW 364TH PL 9001 'A '= ICVEI H TEII36O4(10/26/09)
FEDERAL WAY WA 98033 TACOIN¢A A 48444 9001 PACIFIC AVE
4 TACOMA WA 98444
1 f , , .
Ada Tonal 4ermitinfc7ation
Mechanical Valuation 80 Is tit' an Onlie o/O.T.C. application9 Yes
nicdfFix r
k
Air Handling Units 1 Furnac ( 1
PERMIT EXPIRES Monday, March 23, 20 9
Permit Issued on Wednesday, September 24, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ' /(e_
Date: 0Q
• THIS CARD IS TO RE kIN ON-SITE • • '
�� of � Community Developmenrinspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104524-00-ME
Owner: KARL REY
Address: 836 SW 364TH PL
•
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in (4165) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By e j Date /- - 41 By G J Date e 9 By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
•
1 I
CITY OF 33325 Eigh
Federal \NayFederalWPhone,
Fax 25,
CORRECTION NOTICE
ADDRESS: 634 S.CA) PERMIT#96 - LG y6-2100
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IF YOU HAVE ANY QUESTIONS CALIF la/k Gdo., ars (253) 835- Z Z
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
- o
l �
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF
FederalWap CETVE• [pERMIT 7/ "
COMMUNITYDEVELOFMENT s Rv SF MF CO ME EL PL DE EN FP
333258THAVENUE SOUTH• BOX 9718 p p L I C AT I O N
FEDERAL WAY,WA 9806363-9718 TD / /
253-835-2607•FAX 253-835-2609 SEP 2 4 2'.
www.citgoffederalwati.com
The followiny-i�- que�i gn�i.Eiipiete application will not be accepted. Please print legibly(in ink)or type.
�1 3 MI PROPERTY INFORMATION
!/ ( C 2( i,+ / ✓ ederd�cj SUITE/UNIT#
SITE ADDRESS =' t' J G.,)
ASSESSOR'S TAX/PARCEL# - LOT SIZE (sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING O*ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)A �J�
f� IA.G%'-_ G ao -ka---na..C..__ (�) e ' 9,-„<.) h-
---Wrct G- .4___ a GC.-GG✓>�-" 9i;,�, t -
PROJECT NAME(Name of Business or Owner Last Name) 7?
• PEOPLE INFORMATION
PROPERTYI rJ�� PRIMARY PHONE
NAME
OWNER Kat'l J� (2253 ) *7 4? - /',//61/
MAILING ADDRESS K . CITY
e�SL-wA�E,ZIP � ‘6,6,53 E-MAIL ADDRESS DDRESS
S3�,rP/ T � � � �R � �
CONT-- •R CO Y 771. rstA�LICANT NAMElGi OFFICE PHONE
/O� MAILING ADDRESS CITY,STATE, l (.S3 ) 22
- 22-I /
CELL PHONE
(1.:Or-- oolG�l- � ! e
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
/fim�Ic 74' 1 46C14 = t
EXPIRATION DATE FAX NUMBER -
(253) .535 - s7oo
copy of cud required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application l 1 e1{e.i 1.360,o(-7 to/26,/O1
APPLICANT {{{COMP eNY iananF APPLICANT NAME OFFIC PHONE
r�s`O 1N-e hi•1 /CI SI ( 2 3) S2.1 - -2 i/
MAILINGDRL'S 4` /� CITY,STATE,ZIP /ill,it CELL PHONE -
c- COC./ / c.c: i C C.-( Yic` (r41✓'� �fY'i�' ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant `/Agent 0 Other (2 53)53 `/ - S-7 o
`7
PROJECT NAM /��/�� PRIMARY PHONE E-MAIL ADDRESS
S-2TLCONTACT NAM,, ,
/ `' 1 (ZS3) 377 - 05-2S--
LENDER
ENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DES ION EXIST PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EBISTINO SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ Qv e.7-Z2 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS / MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial( (—
COMPRESSORS / FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE 9/25/0S."-
(Signature)
////(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ wner >(Agent ❑ Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application